07-102092 City of Federal Way Electrical Permit #: 07-102092-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GOLDENSTONE SUITE 208
Project Address: 33400 9TH AVE S Suite 208 Parcel Number: 926501 0060
Project Description: Alteration of up to(5) circuits.
Owner Applicant Contractor
GOLDEN STONE LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC
33400 9TH AVE S 4826 B ST NW SUITE 101 KIRBYEI077BN 1/13/07
FEDERAL WAY WA 98003 AUBURN WA 98001 4826 B ST NW SUITE 101
AUBURN WA 98001
Additional Permit Information
Electrical Fixtures
Circuits Commercial 5
PE MIT EXPIRES Tuesday, October 16, 2007
Permit Issued on Thursday, April 19, 2007
I hereby certify that the above ii format n is co ct and that the construction on the above described property and
the occupancy and the use will be in accordance;with the4 ws,'rules an regulations of the State of Washington
and� the City of Federal Way.
Owner or agent: -7 ,1/--7 ,1/-:-(t� �.cd :.�C Date:
,1 II rift
g 114
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•
4
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102092-00-EL
Owner:
Address: 33400 9TH AVE S Suite 208
FEDERAL WAY, WA
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By 0___`n Date I j )-0-11 B Date S
❑ Under-slab groundwork(4295)
Approved
By Date
CIT
Fedieral Way RECEIVED PERMIT _
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME PL DE EN FP
3332FEDERAL WAYSWA 98060 3-971)(8
7D 89718•
P R 1 9 zN.P P L I C AT I O N TD
253-835-2607•FAX 253-835-2609 /� /'
www_cituoffederulwattown 1�rL�
CITY OF FEDERAL WAY
The following is requialaW4INGEGKT an incomplete application will not be accepted. Please print legibly(in ink)or type.
0 PROPERTY INFORMATION
C
SITE ADDRESS 3 3 Q'2 r4 ,4i.�E" , SUITE/UNIT# „' O
ASSESSOR'S TAX/PARCEL# [_- Co c 0 1 - 0 0 LO 0 LOT SIZE(sf
.
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
7-€.-11Gt✓iT 1.vv1 pc7vm 4_01" Rec.pkeedes/ Sr�,j fits. Re./oefe Z)./417,-Gu,ctleIs
1
PROJECT NAME(Name of Business or Owner Last Name) 6"4:4 CI 54-e,vie e 44 1 4—C. or
• PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�irb / 61 -Fvl`L 1140. ( om) 6'55' - 4Ac,Oo
MAILING DRESS CITY,STATE,ZIP CELL PHONE
'/ C- 135# LiLL) okilei ,44.4 4,tu,,v, w4 lSrcc/ (.26-3)64,6 - 649..2.?
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXIIIRATION DATE FAX NUMBER
/ y— /v— /.o/l' i7- /3L 1 a/3v? (-53 ) er - 363
COPY of card requiredCONTRACTOR'S REGISTRATION NUMBER EXPIRA ON DATE E-MAIL ADDRESS
with each application /“-a2 a K
L,L d 77 /3' c///3A:7 .
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
t.ti I,y e/lCL'f✓%L. j-tel G, (,53)5-S9 - 3-f,bCj
MAILING ADDRESS CITY,STATE,ZIP . CELL PHONE
i/T- ec, i35-i- .1,)Lc3 °/o/ Art buvis L.u4 Blind/_ ( 2.5. )�6 -Gc7�.7
RELATIONSHIP TO PROJECTJ FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other (2 )o- ' -.2363
PROJECT NAME �/ PRIMARY PHONE E-MAIL ADDRESS
1 CONTACT (Jeta S�1Gl L (7 )�S�! ye7cb ,3retI krrtiy e/- vPeJ�,c
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSE i USE
EXISTING ASSESSED/APPRAISED VALUE$ \VAI„ ' OF PROPOSED WORK $ $' 2 yr '^��
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPP• :' ION\NSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
•
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIG E ❑ TAC. A 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVA ' (SEPTIC)
I -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
,SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE) • •
DECK•(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =STING PROPOSED TOTAL TOTAL EXISTING sr TOTALPROPOSED Sr TOTAL Sr
•
•
•
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHA1VIC4L •
Value of Mechanical Work$ (A COPY OF BID,APR ESTIMATE MUST BE - 'ED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLE" GAS PIPE OUTLETS WOODSTOVES
BBQS. FANS GAS WATER HEATERS • MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commend.'
COMPRESSORS FURNACES RANGES
DUCTS • GAS LOG S ' 'RIO.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Comm) VS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE HMS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE �l/f '271 C,7//
/46 DATE 9-11— d 7
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
o NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO . BASIC PLAN? a YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO • DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 o(4 k\Handouts\Permit Application
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sli 4111%.
'-' ELECTRICAL-PERMIT INFORMATION -
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE • NEW COMMERCIAL/INDUSTRIAL SERVICE
a Single Family Square Feet
Service or Feeder Each Add'n
' (First 1300 ft2-'$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00.
❑ Detached outbuilding or garage ❑ 401-600 amp '327.00 131.00
• (Inspectedseparately) $74.00 0 601-800 amp 423.00 179.00
• 0 801 - 1000 amp 516.50. 216.00 •
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
1 Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 •
0 401._600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
I ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00 •
❑ Oto 200 amp $92.50
❑ 201 -600 amp 149.50 A 4 it of circuits to be added/altered
1 ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
1
El of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
1 ❑ Mast or meter repair $55.00 - ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES .
❑ Service or feeder only $74.00
❑ Service and feeder $I20.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK •Residentia
1/Multi•Famiiy $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
O 0- 100 amps $74.00
O 101-200 amps 94.50
O 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ II of Thermostats ❑ it of Signs •
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling ❑ Automation Fee on all Permits- .. $5.00
1.2500 ft2-$65.00; '
Each add'n.2500 ft2-17.00) *Per WAC 296.46-910(5)(6)(i&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application